The Compliance Analyst assists in ensuring that the organization adheres to all relevant regulations and internal policies. This role involves maintaining policy databases, developing training materials, managing Compliance communication channels, and facilitating timely responses to regulatory complaints and requests.

Essential Functions

Policies and Procedures:

• Maintain a database of Sendero Policies & Procedures (P&Ps) in the enterprise policy management application.
• Facilitate the annual review and update of all enterprise P&Ps.
• Training and Education:
• Develop core compliance training materials.
• Facilitate new hire, annual, and risk-based compliance training.
• Develop and provide annual Board of Directors (BOD) compliance training.

Lines of Communication:

• Respond to requests for regulatory interpretation and guidance for compliance-based inquiries.
• Establish, monitor, and respond to anonymous hotline communications.
• Establish, monitor, and respond to Compliance mailbox communications.
• Establish and maintain the Compliance SharePoint site, including links to key compliance materials.

Regulatory Complaint Review:

• Facilitate the resolution of issues specific to compliance department responsibilities, including regulatory complaints.
• Facilitate timely and responsive communication with regulators.
• Implement and maintain a system to track, trend, and report on regulatory complaints and issue escalations.
• Regulatory Requests:
• Facilitate the timely, accurate submission of all regulatory and legal requests and document filings.
• Records Integrity and Retention:
• Establish enterprise-level standards and processes to ensure appropriate completeness, accuracy, retention, and destruction of enterprise documentation.

Knowledge, Skills and Abilities:

• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Proficiency with compliance management software and tools.
• Ability to work independently and as part of a team.

Minimum Education:

• Bachelor's Degree (higher degree accepted) in a related field or 10+ years of applicable health plan experience.

Minimum Experience:

• 10+ years of applicable health plan experience or a Bachelor's Degree

Preferred Licenses/Certifications:

• Compliance-related certification (e.g., CHC, CCEP, CHP)